Postmortem human brain analysis and a novel transgenic mouse model were used to test whether SHANK3a loss contributes to Alzheimer's disease symptoms and neuropathology. Shank3a deficiency alone did not impair cognition, but when combined with AD neuropathology in mice, it synergistically impaired object recognition memory and increased anxiety-like behavior, while also elevating soluble Aβ42 and human tau levels.